HomeMy Public PortalAbout6445 TEMPLE CITY BLVD_Plumbing__ D U R-IT new Q[ lire < APPLICATION FOR PERffiT
DEPARTMENT OFLOS NG AND SAFETY , ����®1�� 1
COUNTY OX.F LOS ANGELES
WY J FOX.CHIEF ENa1NEER
MATURE OF INSTALLATION
FAIXRMrr
<�
rAD
wIKTURED COMPLETG ) `� 3 J-7
'READY FOR
CiBElOOL BIPTIC TANK RECR FIRST INSPECTION 72 108Uj
1 A JJ//w�� 5
APPLICANT /FILL IN HEAVILY OUTLINED PORTION ONLY
\� ADDROS / 40 SI � I0 LOGLTTY TO O S'/ 2 cRoR er.
OUNTY
6 M sxwlR® O-5O et NAME
OF SEPTIC TANK, OR CESSPOOL MAIL
ADDRESS
NORTH O
CRY TEL No
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
�� PLDIIEER ��
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OIYMER
CORRECTIONS
j
SOUTH ' M./ ,J
DESCRIPTION OF WORK y i
orm
kTH Tut -FURNACE ,TOL Q /14/144 t2
C
OWER DISHWASHERVATORY REFRIGERATOR I � nP 71Jm v
TCHKN SINK WATER SOFTENER -713 BF' ?,(/ ) DP t ✓& YEA
FLOOR SINK --------SANDTRAP
W
W
LOP OINK FLOOR DRAIN
ASH TRAY URINAL APPROVALS
CLOSETATER CLOSDRINKING FOUNTAIN
_ q DATE IN RJ NAY[
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING /-�0 ro
REo GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OR FIXTURES BEPf IC TANK
CESSPOOL RKPTICTANK SEWER
S
TOTAL FEE UTILITY CO NOTIFIED - 6
S O
FINAL /1. 27 A
nwlST (CC-817) - Ihl _.
APPLICATION R PLJMBING PERMIT
DEPARTMENT OF COUN COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING
ADDRESS T T
HARVEY T. BRANDT, COUNTY ENBINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST !•E V F_
NUMBER FIXTURE OR ITEM ® FEE
OWNER
WATER CLOSET
700
MAIL
BATH TUB 200 ADDRESS elf q[�:y04r
SHOWER 200 p O CITY L/9- IVD 3L__ TEL NO '�Z(c-F-
LAVATORY TDO 41Q CONTRACTOR S y0 —oryr
SINK 2 DO ADDRESS V
DISHWASHER 200 CITY TEL NO
CLOTHES WASHER_ 200 STATE LIC
SWIMMING POOL RECEPTOR 200 LICENSE NO CLASS
DISTRICTNO GRO P ZONE PROCE68 ED BY
LAWN SPRINKLER SYSTEM 200 U$70
WATER HEATER 2 DO WASTE APAPROVAL
GAS SYSTEM OUTLETS 2 OD IN 9 CTION RECOR p�p
OUTLETS OVER U
5 PER SYSTEM 30
CC
O
C~0
y�
2
Plan check fee See Re",s• wjG
PLUMBING PERMIT ISSUING FEE $ 00
TOTAL FEE O
APPROVALS DATE CCTORSSIGNAAR,
Plan Check llcant UNDER SLAB WORK
Nagle /A"� ROUGH PLUMBING
Add/e55 GAS PIPING
City 032 TBI NO - GAS VENT
WATER HEATER
I HERESY ACKNOWLEDGE THAT I HAVE READ &P160T HOT
AND STAT! THAT THEADDYE If CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY 0RDI MANGES AND !TATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PERLY R STEREO AND/OR UTILITY CO NOTIFIED
LICENSED Al RlOUI RlD BY L AN [ CO TY ND STAT I
CALIFORNIA OR THAT I AM E L N O . AN TO
RESIDE IN THE ABOVE D[fC T L OP FINAL I
SI ONATU RE
OF PERMITTEE
PERMIT VALIDATIONcK M 0 CASH
PLAN CHECK VALIDATION CK M 0 CASH
1 1 '7�FE6
10 15 D 1 3.5 0 AEPs